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General NPI Number Information
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NPI Number | 1033278338
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Entity Type | Individual
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Provider Name | ANTHONY P MORESCHI MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 302 N WESTBERRY ST
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City | SYLVESTER
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State | GA
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Zip | 31791-2125
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Country | US
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Telephone | 229-776-7060
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Fax | 229-299-4217
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Provider Business Mailing Address
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Address Line | 302 N WESTBERRY ST
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City | SYLVESTER
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State | GA
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Zip | 31791-2125
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Country | US
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Telephone | 229-776-7060
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Fax | 229-299-4217
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 049146
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License Number State | GA
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